<html>
<head>
<title>Insertion Customer Name</title>
</head>
<body bgcolor= "#FFFACD">
<IMG SRC = "http://image.ohozaa.com/i/d29/bMY7Wm.jpg" width = "100%" height = "200" border="3"><p>
<HR><center>
<h2> ~  CHANGE  &nbsp;&nbsp;USER  &nbsp;&nbsp;PROFILE  ~ </h2>
<HR></center>
	<form action="" method="POST">
	{% if errors != "" %}
         <font color="red"><center>{{errors}}</center></font><br>
    {% endif %}
    <center>
	<table width="500" border="1">
	<td><center>First Name: <td><center><input type="text" name="first_name"></center></td></tr>
	<td><center>Last Name: <td><center><input type="text" name="last_name"></center></td></tr>
	<td><center>Birth Date:<br>
	(YYYY-MM-DD)<td><center><input type="text" name="u_birth"></center></td></tr>
	<td><center>Department: <td><center>
	 <select name="u_department"> 
	 	{% for depart in depart_list %}
	 	<option value= "{{depart}}" >
	 	&nbsp&nbsp&nbsp   {{depart}}   &nbsp&nbsp&nbsp 		</option>
	 	{% endfor %}
	 </select></td></tr>
	<td><center>E-mail: <td><center><input type="text" name="u_email"></center></td></tr>
	</table>
	</form>
	</font>
	<br>
	<input type="submit" value="save"><br>
	<br><a href="http://localhost:8000/user_profile/"> << Go back </a><br><br>
</body>
</html>
